It seems JavaScript is either disabled or not supported by your browser. JavaScript must be enabled in order for you to receive the best user experience.

Licensee Information

Jackie Suzanne Tank - PA-C
0010-16034
Active
No
11/13/2025
11/13/2027

Active Supervisor

NameTypeStatusApprovedInactive
Hastings, Nicholas Michael, DO DO Active 11/17/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
California
Florida
Georgia
Indiana
Michigan
New Jersey
New York
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Virginia
Washington
Wisconsin

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 10/20/2026 3:29:26 AM

Loading